Healthcare Provider Details

I. General information

NPI: 1528696374
Provider Name (Legal Business Name): LINDSEY HARRISON DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2020
Last Update Date: 05/31/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 HOLMES ST
KANSAS CITY MO
64108-2640
US

IV. Provider business mailing address

2301 HOLMES ST
KANSAS CITY MO
64108-2640
US

V. Phone/Fax

Practice location:
  • Phone: 816-404-4175
  • Fax:
Mailing address:
  • Phone: 816-404-4175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number05-47690
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number2022028987
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: